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Old Sailor
Regular Member

Date Joined Aug 2009
Total Posts : 207
   Posted 11/12/2010 10:59 AM (GMT -6)   
My PSA reached 1.0 last week so Docs want to start hormone therapy in near future.  Had bone scan which showed one small spot in pelvic area - doc not sure if pca but has scheduled an MRI.  If the spot is pca, can it be radiated and how does it effect hormone therapy and future course of pca.  Trying to be positive.   The Old Sailor
Dx 07/09 Age 67 - 28 core saturation biopsy w/5 positive (2 gleason 8, 2 gleason 7, 1 gleason 6)
RRP 8/13/09 Mayo Clinic Jacksonville

Path report upgraded gleason to 4+5=9

Negative margins/extraprostatic extension/seminal vessicles/ lymph nodes but perineural invasion present.

Two month post surgery PSA 0.022

Five month post surgery PSA 0.081

Seven month post surgery PSA 0.190

Eight month post surgery PSA 0.217

Started 38 sessions IMRT at Mayo Jacksonville on 4/12/10, completed 6/4/10. Few side effects except urinary urgency and frequency during the day and some rectal discomfort near the end of therapy.

Veteran Member

Date Joined Sep 2009
Total Posts : 3172
   Posted 11/12/2010 12:03 PM (GMT -6)   
If/when cancer metastasizes to bone and begins to cause bone pain, radiation can be used to relieve the pain...

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 11/12/2010 1:34 PM (GMT -6)   
That is really low psa for positive mets, still a possibility but more rare (unless it is an aggressive variant or such). Doc would be only to pleased to bill out an MRI even on any suspecion, unless he is more objective...maybe get another opinion or see what he says about that (does he rant and rave???). There are other marker tests for mets as mentioned by Dr. Strum et al, but whatever. Scans are generally useless and great billing tool, MRI costs more and is not much better either. Like Casey said, spot radiation is good for controlling pain and might destroy PCa cells at that spot only, won't effect anyother areas in killing PCa cells and will not change doing hormone therapy. A person could have mutliple micro mets going on and so, there is no way of totally knowing or treating it all...this is a very sad reality of PCa. You might wish to look at further opinions on your own case, it is amazing what your end up seeing and learning in the real world of treatments.
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35, ct and bone scans look clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off 1+ yr., controlled well, resumed, used intermittently, resumed useage

Veteran Member

Date Joined Jan 2010
Total Posts : 1011
   Posted 11/12/2010 1:45 PM (GMT -6)   
OS, hang in and wait for that MRI. It is very unusual to have mets to bone at a PSA of 1.0. When I have a bone scan prior to SRT (my PSA was .28 at the time) they found a spot on my lower spine. Both Rad Oncol and Urologist told me that they were pretty sure that it was PCa mets to bone. It usually shows up just in that area. Scared the devil out of me until MRI showed that it was just a hemangioma (tangle of blodd vessels).
BTW, they were planning to hit it with radiation to reduce the tumor when they thought it was PCa.
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%, nerves spared, no negitive side effects of surgery.
PSA's < .01, .01, .07, .28, .50. HT 5/10. IMRT 9/10.
PSA's post HT .01, < .01
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